What we need are our ‘fat cats’ to get up off their asses, out of their air conditioned offices and go and see what is going on first hand. We seem to copy ‘all things crap’ American to aire on our local television, and what could be a ‘game changer’ to business practices on the Roc, we fail to copy. I am talking about a programme called ‘Undercover Boss’. Tune in to cable television and those who do not agree that such a programme would do well in JA are the root cause of why business is as is on the Roc.
Supervisors and managers have become sloppy caught up with their own self importance of the ‘job title/position’ resulting in them being clueless. Relying heavily on emails and chit chat refusing to see first hand simply because they are ‘lazy’ and never held accountable. I was always of the view that the buck stops with the ‘organ grinder’ and such a person is usually at the top of the food chain. If leaders are serious about paradigm shift, then they must get off their laurels ever so often and witness first hand what is being passed on as acceptable governance when in fact what we have equates to an abomination of basic human right once you pay your fair share.
Why should you be paid if you fail miserably at the job you were employed or contracted to do? What should prevent one from firing/terminating such individuals if they fail to deliver? Surely, we have a serious crisis in this Country when we believe there is something fundamentally wrong in holding people accountable for the task they were commissioned to do and do so competently. If you can be hired, then you can be fired!!!! Incompetence must never be tolerated and should not be protected by ‘Unions’ under any circumstance.
From the sentiments of Mr Dawes, I can only hope that action takes place while you all are on a path of reconciliation on how you communicate between each other and the wider public at large.
Dawes happy with Government’s health approach
(Jamaica Observer) Sunday, September 06, 2015
DAWES… glad that something positive has emerged
PRESIDENT of the Jamaica Medical Doctor’s Association (JMDA), Dr Alfred Dawes, says he is pleased that following the public outcry over the crisis in the health sector, which the group brought to the fore earlier this year, the Government has decided to finally treat the situation with greater urgency.
“When we initially brought the findings of our own ‘audit’, there was a lot of backlash and it was turned into a circus, and we are happy that now something positive has come out of what we did. We hope that we have played out part in fixing health care in Jamaica,” he told the Jamaica Observer.
Dr Dawes said the audit, which was ordered by the health minister in May and the main findings released to the public on Wednesday, was a “good start” as “it does give a clearer picture of what is happening and it went beyond what the JMDA had brought to the forefront of the nation’s conscience. They looked at not just the wards and surgical areas, but also maternity, intensive care unit, and accident and emergency departments, and have identified the shortcoming and seen what percentage shortfalls there are in pharmaceuticals, etc, so that they can move forward with a comprehensive health reform that we have been advocating from day one”.
The JMDA president said he understands why the ministry is against making the full report available to the public, as the association itself, when it raised alarm about the frightening deficiencies in the sector, had purposefully not pinpointed any facility.
“I suspect this is a similar concern why the ministry is not releasing the report. We think a fullsome release would be ideal — however, the names of the institutions should be redacted if they are going to do that. What you don’t want to have are patients fleeing from one institution because they feel that the health care is inferior and overloading the resources that are available at another institution, which is what we are seeing happening now in the health sector, where clinics are looked at as not as effective in treating persons as the hospital,” Dawes said. He noted also that staff morale at the named facilities would plunge.
While he is satisfied that steps are being taken to rectify the problems, Dr Dawes said the entire supply chain management system needs to be fixed immediately. “From procurement to the actual delivery and the ordering and reordering, they tried to fix it will centralisation; it did not work. It failed miserably in that regard and right now we are still faced with that problem, and one of the major issues affecting the ability of the health care workers to adequately treat patients is the availability of supply. That is the key to addressing the results of the audit,” he stated.
Dr Dawes said it was his view that the ministry has been receiving “sterilised” reports that enabled the conditions at health facilities to persist for so long.
“It is clear now that there needs to be greater lines of communication between those who are in the trenches and those who are at the top who can ensure that the necessary changes are made; that they get the supplies that they need and whatever working conditions are on the ground, they can address them. What we are dealing with on the ground is completely different from what is being filtered up to the ministry. Somewhere along the line persons are whitewashing information,” he said.
Dr Dawes said that at a meeting with ministry officials it was decided that there would be more regular meetings between the association and the health ministry to see how the reforms are progressing, and the impact of the increase in its budgetary allocation on the ground, particularly the availability of supplies and equipment.
“I think monthly meetings are appropriate, and that was suggested,” Dr Dawes said.